Medical Report Generation Using Marked Reference Data
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Solution Overview
Problem
The creation of follow-up medical reports often results in isolated documents with diverging structures, impairing comparability and analyzability of a patient's medical history, and conventional methods like copying and manual editing are prone to errors leading to misinterpretations.
Innovation Solution
A method and system for creating medical reports that involve selecting reference report texts with mark-up elements indicating data elements requiring input, displaying a call-to-action for user input, and generating a follow-up report text based on the input, using hierarchical structures and medical ontologies to ensure accurate and structured documentation.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Ease of operation
If follow-up reports are created completely anew independently from previous reports, then each examination has its own isolated document, but the comparability and analyzability of patient medical history deteriorates
Solution Approach 1:
The system performs preliminary actions by automatically importing and structuring data from previous reports before the physician creates the follow-up report. This pre-structuring with mark-up elements prepares the data for easy comparison and update, resolving the contradiction by enabling both independent creation and maintainable comparability through automated preliminary data preparation
Solution Approach 2:
The system uses structured copying of relevant data elements from previous reports into the follow-up report template, rather than copying entire documents. This selective copying with mark-up elements maintains comparability while allowing independent creation, as only specific structured data is copied and can be easily updated or compared
2Productivity
If the physician copies and pastes a previous report and manually edits it, then the creation process is simplified, but errors and misinterpretations increase
Solution Approach 1:
The system replaces the mechanical manual process of copying and pasting with an automated computer-based system that imports, structures, and marks up data from previous reports. This substitution eliminates manual errors while maintaining productivity, as the automated system handles data transfer and structuring without human intervention
Solution Approach 2:
The system enables self-service by automatically identifying and marking data elements that require updates or comparisons, rather than requiring the physician to manually identify them. This self-marking process reduces errors while maintaining creation speed, as the system autonomously prepares the report structure with appropriate indicators
3Adaptability or versatility
If manual parsing is used to identify portions warranting deletion or changes, then the physician has control over content, but time consumption and error risk increase
Solution Approach 1:
The system provides feedback by displaying mark-up elements that automatically indicate which data elements require attention, updates, or comparisons. This feedback mechanism guides the physician's control decisions while reducing time consumption, as the system highlights relevant areas rather than requiring manual parsing of entire documents
Data Source
AI summary
Methods, systems and computer program products for creating a medical report indicative of a follow-up examination of a patient are provided. The method comprises receiving a selection of at least one reference report text of the patient, wherein the reference report text has at least one reference data element associated with a mark-up element; creating a partial follow-up report text, having at least an empty data element, associated with the mark-up element; displaying the follow-up report text; displaying a call-to-action element based at least on the received selection of reference report text, the call-to-action element requesting input for the empty data element; receiving an input element in response to the displayed call-to-action element; and creating the follow-up report text based on the partial follow-up report text and the received input element, wherein the created follow-up report text has at least the input element associated with the mark-up element.